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Study of expression levels of 14 genes in human brain autopsy and biopsy samples found significant change in one of the genes, indicating that a substantial proportion of all expressed g

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Systematic analysis of gene expression in human brains before and

after death

Henriette Franz * , Claudia Ullmann † , Albert Becker † , Margaret Ryan ‡ ,

Sabine Bahn ‡ , Thomas Arendt § , Matthias Simon ¶ , Svante Pääbo * and

Philipp Khaitovich *

Addresses: * Max-Planck-Institute for Evolutionary Anthropology, Deutscher Platz, D-04103 Leipzig, Germany † Department of

Neuropathology and National Brain Tumor Reference Center, University of Bonn Medical Center, Sigmund-Freud-Strasse, D-53105 Bonn,

Germany ‡ Cambridge Centre for Neuropsychiatric Research, Institute of Biotechnology, University of Cambridge, Tennis Court Road,

Cambridge CB2 1QT, UK § Paul Flechsig Institute for Brain Research, University of Leipzig, Jahnallee, D-04109 Leipzig, Germany ¶ Department

of Neurosurgery, University of Bonn Medical Center, Sigmund-Freud-Strasse, D-53105 Bonn, Germany

Correspondence: Philipp Khaitovich E-mail: khaitovich@eva.mpg.de

© 2005 Franz et al.; licensee BioMed Central Ltd

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which

permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Profiling post-mortem human brains

<p>Comparison of the gene expression profiles of pre- and post-mortem human brains suggests that post-mortem human brain samples

are suitable for investigating general gene-expression patterns.</p>

Abstract

Background: Numerous studies have employed microarray techniques to study changes in gene

expression in connection with human disease, aging and evolution The vast majority of human

samples available for research are obtained from deceased individuals This raises questions about

how well gene expression patterns in such samples reflect those of living individuals

Results: Here, we compare gene expression patterns in two human brain regions in postmortem

samples and in material collected during surgical intervention We find that death induces significant

expression changes in more than 10% of all expressed genes These changes are non-randomly

distributed with respect to their function Moreover, we observe similar expression changes due

to death in two distinct brain regions Consequently, the pattern of gene expression differences

between the two brain regions is largely unaffected by death, although the magnitude of differences

is reduced by 50% in postmortem samples Furthermore, death-induced changes do not contribute

significantly to gene expression variation among postmortem human brain samples

Conclusion: We conclude that postmortem human brain samples are suitable for investigating

gene expression patterns in humans, but that caution is warranted in interpreting results for

individual genes

Background

Microarray studies examining gene expression profiles of

thousands of genes have become an important tool in

uncov-ering molecular mechanisms of human diseases, aging and

evolution [1-3] Many such studies are conducted on

post-mortem human tissues, since neither cell culture nor animal models can fully recapitulate relevant human conditions [4,5] This is particularly the case for studies that examine the human brain Several factors may alter gene expression pro-files in postmortem human brain samples Such factors

Published: 30 December 2005

Genome Biology 2005, 6:R112 (doi:10.1186/gb-2005-6-13-r112)

Received: 4 July 2005 Revised: 23 August 2005 Accepted: 6 December 2005 The electronic version of this article is the complete one and can be

found online at http://genomebiology.com/2005/6/13/R112

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include the delay between death and the time of tissue

freez-ing, the method of freezfreez-ing, and the duration of storage of the

frozen brain material Prior studies have indicated that these

factors have relatively small effects on gene expression [6-8]

In contrast, the duration and nature of the agonal state

pre-ceding death appear to have a substantial effect on gene

expression by affecting the integrity of messenger RNAs

[7-9] Thus, postmortem brain samples obtained from

individu-als who died after a protracted agonal phase are not suitable

for gene expression studies Without any prolonged agonal

conditions, however, death itself may alter gene expression

patterns in postmortem human brains Study of expression

levels of 14 genes in human brain autopsy and biopsy samples

found significant change in one of the genes, indicating that a

substantial proportion of all expressed genes could be

affected by death [10]

We surveyed gene expression in 10 postmortem human brain

samples (autopsy samples) and 12 samples obtained from

brain surgery (resection samples) derived from frontal cortex

and hippocampus using Affymetrix® HG-U133plus2

microar-rays containing probes for all annotated human genes All

autopsy samples were obtained from individuals that died

rapidly with no prolonged agonal state, thus minimizing the

influence of agonal factors on gene expression patterns in our

study

Results Expression differences between autopsy and resection samples

Gene expression profiles were determined in six resection samples from hippocampus and frontal cortex, and in four and six autopsy samples from hippocampus and frontal cor-tex, respectively, using Affymetrix® HG U133plus2 arrays (see Materials and methods) Of the 54,613 probe sets on the microarray, 42,427 (77.69%) gave a detectable hybridization signal in at least one individual (see Materials and methods) Among these probe sets, we found 5,703 with a significant dif-ference in expression (13.4%) using analysis of variance (ANOVA) with a nominal significance cutoff of 0.01 (false dis-covery rate (FDR) = 4.12%, permutation test) and 8,643 using significance analysis of microarrays (SAM) at the 5% FDR cutoff Out of the 5,703 probe sets identified in ANOVA, 5,515 (96.7%) overlapped with the probe sets identified by SAM Further, of these 5,703 probe sets, 4,508 differed significantly

(p < 0.01) between autopsy and resection samples in both

brain regions while 981 probe sets showed a significant differ-ence between autopsy and resection samples as well as between brain regions (Figure 1) For none of these 5,489 probe sets did the differences between autopsy and resection samples depend significantly on the brain region Finally, for

214 probe sets (0.5% of all detected ones), expression differ-ences between autopsy and resection samples differed

signif-icantly (p < 0.01) depending on the brain region examined.

This indicates that death-induced expression changes are highly consistent in both brain regions and influence only a small fraction of the total observed expression differences (214 out of 5,703)

Since all but one surgery patient were diagnosed with epilepsy (Table 1), we first tested whether differences between autopsy and resection samples are significantly affected by the epilep-tic condition Among the 42,427 expressed probe sets, we found none with a significant effect of epilepsy either in hip-pocampus or in frontal cortex using both linear regression and SAM (FDR = 5.0%) Further, we tested whether known changes in expression caused by epilepsy are over-repre-sented among differences seen between autopsy and resec-tion samples Using a published set of genes where expression

change was observed in at least two epilepsy studies (N = 54)

[11], we found no such over-representation (Fisher's exact

test, p = 0.45) Finally, we tested whether expression

differ-ences we found between autopsy and resection are also seen when only the samples unaffected by epilepsy are considered

To this end, we identified probe sets showing expression dif-ferences between autopsy and resection samples, excluding from the analysis samples from patients not affected by

epi-lepsy (ANOVA, p < 0.01) We found a strong and significant

correlation when these expression differences were compared

to the ones observed in non-affected control samples; three resections composed of two cerebral cortex samples from an unaffected region and one hippocampus sample from a

non-epileptic patient gave Pearson's correlation R = 0.948 (N =

ANOVA test results

Figure 1

ANOVA test results Numbers indicate number of probe sets with

expression significantly influenced by brain region, source of sample

material, and their interaction The interaction term is significant when the

expression changes due to death differ significantly in the two brain

regions examined (see Material and methods) Numbers in brackets

indicate the percentage of significant probe sets compared to the total

number included in the analysis Overlapping regions include probe sets

with more than one significant term.

Region

5353

(12.6%)

Source 4508 (10.6%)

Source•region 383

(0.9%)

981 (2.3%)

128 (0.3%)

108 (0.25%) 106

(0.25%)

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2,983, p < 10-15) or using the one hippocampus sample only

gave Pearson's correlation R = 0.905 (N = 4,088, p < 10-15)

Thus, the overwhelming majority of expression differences

between autopsy and resection identified in samples affected

by epileptic condition are also present in the non-affected

samples

We next asked whether the genes represented by the 4,508

probe sets that showed significant differences in expression

between autopsy and resection samples in both brain regions

cluster in functional categories as defined by the Gene

Ontol-ogy (GO) consortium [12] Differently expressed genes

clus-tered significantly in all three GO taxonomies, 'biological

process', 'molecular function' and 'cellular component' (p <

0.0001) Among 15 GO 'biological process' categories with

significant over-representation of differently expressed

genes, four are involved in cellular protein metabolism and

six in nucleobase, nucleoside, nucleotide and nucleic acid

metabolism Most of the remaining genes are found in the

categories 'organelle organization and biogenesis' and

'intra-cellular protein transport' (Table 2) The expression of genes involved in the ubiquitin cycle and protein ubiquitination is significantly increased after death, while the expression of genes involved in protein biosynthesis, rRNA processing, organelle organization and biogenesis and induction of

apop-tosis are significantly decreased (two-sided binomial test, p <

0.05)

Among 20 GO categories with significant under-representa-tion of genes differently expressed between autopsies and resections, seven are involved in cell communication, three in response to stimulus, two in sensory perception, and four in development In addition, 'cellular physiological process' and 'organismal physiological process' are among the GO catego-ries that are significantly conserved in their expression between autopsy and resection samples (Table 2)

In contrast, no chromosome showed either an excess or lack

of expression differences (two-sided binomial test, p < 0.341,

corrected for multiple testing)

Table 1

Sample information

Sample* Age

(years)

Sex 28S/18S ratio†

GAPDH 5'/3' ratio‡

Expressed probe sets (%)§

Diagnosis Epilepsy Types of seizures

-HR1 45 M 1.1 0.520 50.5 Anaplastisches Oligo WHO III Yes Simple partial

HR2 39 F 1.3 0.700 50.2 Glioblastoma Yes Simple and complex partial, GM

HR3 61 M 1.6 0.774 53.8 Glioblastoma Yes Simple and complex partial

HR4 51 F 1.6 0.697 49.5 Ammon's horn sclerosis Yes Simple and complex partial, GM

HR5 13 M 1.4 0.778 47.1 Ganglioglioma Yes Complex partial

HR6 83 F 1.3 0.817 50.0 Atpisches Meningeom Grad II No

-CR1 35 F 1.2 0.741 45.9 Focal cortical dysplasia Yes Complex partial, GM

CR2 31 F 1.3 0.741 39.5 Focal cortical dysplasia Yes Simple partial

CR3 9 F NA 0.607 45.6 Focal cortical dysplasia Yes Complex partial

CR4 37 M NA 0.674 43.7 Focal cortical dysplasia Yes Complex partial

CR5 35 F NA 0.737 48.8 Focal cortical dysplasia Yes Complex partial, GM

CR6 31 F NA 0.674 43.1 Focal cortical dysplasia Yes Simple partial

*Sample names: position one = brain region (H, hippocampus; C, cortex); position two = sample source (A, autopsy; R, resection); position three =

individual †Ribosomal RNA bands ratio was measured using Agilent 2100 Bionalyzer system ‡GAPDH ratio was measured using probes to 5' and 3'

of the transcript on Affymetrix® array §Expressed probesets were defined based on detection p < 0.05 F, female; GM, grand mal; M, male; NA, not

applicable

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Expression differences between brain regions

To test whether in vivo expression differences between the

brain regions are conserved in postmortem samples, we first

considered the ANOVA results (Figure 1) Among 42,427

probe sets with hybridization signals detectable in at least one

individual, 6,568 (15.5%) showed significant expression

dif-ferences between the two brain regions analyzed (nominal

significance p < 0.01, FDR = 3.6%, permutation test) Out of

these probe sets, 6,431 (97.9%) overlapped with the ones identified by SAM (FDR = 5%) In 234 of these 6,431 probe sets, differences between brain regions depended

signifi-cantly on the source of sample material (p < 0.01) Thus,

although autopsy and resection samples differ substantially with regard to their gene expression profiles, the patterns of expression differences between the brain regions remain largely preserved

Table 2

Functional analysis of gene expression differences between autopsy and resection samples

GO ID Term Expressed genes Significant differences* Change p value Conservation p value

GO:0006412 Protein biosynthesis 462 101 (37/64) 0.001 0.999 GO:0006512 Ubiquitin cycle 473 119 (86/33) 0.000 1.000 GO:0016567 Protein ubiquitination 256 60 (41/19) 0.002 0.999 GO:0006511 Ubiquitin-dependent protein catabolism 104 36 (23/13) 0.000 1.000 GO:0006396 RNA processing 341 118 (64/54) 0.011 0.995 GO:0006397 mRNA processing 217 74 (44/30) 0.002 0.999 GO:0008380 RNA splicing 183 67 (39/28) 0.000 1.000 GO:0006281 DNA repair 168 40 (23/17) 0.009 0.995 GO:0000398 Nuclear mRNA splicing, via spliceosome 155 54 (30/24) 0.000 1.000 GO:0006364 rRNA processing 32 16 (3/13) 0.000 1.000 GO:0006996 Organelle organization and biogenesis 367 83 (30/53) 0.048 0.964 GO:0006886 Intracellular protein transport 263 62 (32/30) 0.002 0.999 GO:0008624 Induction of apoptosis by extracellular signals 28 13 (2/11) 0.000 1.000 GO:0006120 Electron transport, NADH to ubiquinone 24 10 (3/7) 0.003 0.999 GO:0048247 Lymphocyte chemotaxis 3 3 (0/3) 0.004 1.000 GO:0007242 Intracellular signaling cascade 879 105 0.989 0.016 GO:0007186 GPCR protein signaling pathway 448 39 1.000 0.000 GO:0007267 Cell-cell signaling 417 39 0.998 0.003 GO:0007243 Protein kinase cascade 231 24 0.997 0.005 GO:0045860 Positive regulation of protein kinase activity 41 1 0.999 0.006 GO:0007268 Synaptic transmission 203 18 0.999 0.001 GO:0007187 G-protein signaling (cyclic nucleotide second

messenger)

GO:0050896 Response to stimulus 1,326 179 0.975 0.035 GO:0009605 Response to external stimulus 781 90 0.972 0.037 GO:0009617 Response to bacteria 37 0 1.000 0.001 GO:0007601 Visual perception 126 9 0.999 0.002 GO:0007606 Sensory perception of chemical stimulus 55 2 0.999 0.003 GO:0007275 Development 1,412 174 0.992 0.011 GO:0009887 Organogenesis 770 89 0.997 0.004 GO:0007417 Central nervous system development 92 6 0.999 0.004 GO:0008544 Epidermis development 39 1 0.999 0.008 GO:0050875 Cellular physiological process 3,372 515 1.000 0.000 GO:0050874 Organismal physiological process 1,200 138 0.997 0.004 GO:0006813 Potassium ion transport 139 3 1.000 0.000 GO:0030003 Cation homeostasis 52 1 1.000 0.001

*Numbers in parenthesis correspond to the number of up- and down-regulated genes in the autopsy samples Bold font indicates Gene Ontology (GO) groups with significant excess of up- or down-regulated genes (see Materials and methods)

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We tested further whether in vivo expression differences

between the brain regions are conserved in the postmortem

samples by separately identifying, independent of the

ANOVA results, probe sets differently expressed between the

brain regions in the autopsy and in the resection samples

Using Student's t test with nominal significance p < 0.01, we

found 788 and 3,943 probe sets with a significant difference

in expression between the brain regions in the autopsy and in

the resection samples, respectively (FDR = 22.8% and 4.3%

respectively, permutation test) Similarly, using SAM with

FDR = 5% we found 874 and 6,699 probe sets with a

signifi-cant difference in expression between the brain regions in the

autopsy and in the resection samples, respectively This large

discrepancy in the numbers of differences between the brain

regions when the autopsy and resection samples are

consid-ered separately seems to contradict the ANOVA results To

address this, we examined whether probe sets that do not

overlap between these two lists tend to show the same pattern

of change between the brain regions or, alternatively, are

completely uncorrelated in their expression behavior For

this purpose, we considered all probe sets present on either of

the two lists and calculated the strength of correlation of the

expression difference between the brain regions measured in

the autopsy and in the resection samples We found a strong

and significant correlation between the expression

differ-ences for both t test (Pearson's correlation R = 0.763, N =

4,471, p < 10-15) and SAM results (Pearson's correlation R =

0.726, N = 7,162, p < 10-15) (Figure 2) Similarly, we found

slightly reduced but still highly significant correlations using

expression differences normalized to the average variation

(effect size) (Pearson's correlation R = 0.566, p < 10-15 and R

= 0.584, p < 10-15, respectively) Thus, expression differences

betweenthe two brain regions are largely concordant in the

autopsy and resection samples Interestingly, the slopes of the

regression lines (β) fitted through the distributions of the

expression differences between the two brain regions in the

autopsy and the resection samples equal 0.49 for both sets of

genes (Figure 2) An even stronger effect was observed using the effect size measurements (β = 0.33 and β = 0.32 for t test

and SAM results, respectively) Thus, despite an overall agreement of the measurements of expression differences in the two sources of sample material, the amplitude of expres-sion differences measured in the autopsy samples is, on aver-age, half of that observed in the resection samples Limiting the regression to genes with a high expression difference amplitude in either autopsy or resection samples did not change this effect Interestingly, it was even more pro-nounced for genes with lower expression in the frontal cortex compared to the hippocampus (β = 0.27 and β = 0.34 for t test

and SAM results, respectively) Since the significance test depends on the effect size, smaller expression differences explain the reduced number of identified probe sets in the autopsy samples

Influence of death on expression variation

All microarray studies involving postmortem human samples report substantial biological variation among individuals We asked whether death-induced expression changes contribute

to this variation by affecting different individuals to different degrees To do this, we examined published gene expression data from 40 brain autopsy samples [13] First, we asked whether probe sets that differ in expression between autopsy and resection samples vary more among individuals in this dataset than other probe sets From the 16,376 probe sets with a detectable hybridization signal in at least one of the 40 individuals, 1,752 overlap with the probe sets showing signif-icant differences in expression between autopsy and resection samples Using logarithm transformed variation measures,

we found no significant difference between the expression variation among these probe sets and among the remaining

probe sets (Student's t test, p = 0.916) Thus, genes that differ

in expression between autopsy and resection samples do not vary more among postmortem samples compared to the other genes

Next, we asked whether the amplitude of death-induced expression changes correlates with the duration of postmor-tem interval To test this, we computed correlations between gene expression levels and postmortem delay in the 40 brain autopsy samples for 1,752 probe sets that differ in expression between autopsy and resection samples and for 1,000 subsets

of the same size randomly sampled from the other 14,624 probe sets In 837 out of 1,000 random subsets, the correla-tion was greater or equal to the one observed for probe sets with significant difference in expression between autopsy and resection samples Thus, genes that differ in expression between autopsy and resection samples do not correlate more with duration of postmortem interval than the rest of the detected genes

Scatter plot of expression differences between cortex and hippocampus in

resection (x-axis) and autopsy (y-axis) samples

Figure 2

Scatter plot of expression differences between cortex and hippocampus in

resection (x-axis) and autopsy (y-axis) samples Expression differences

were calculated as base two logarithm transformed ratios of gene

expression values All probe sets showing significant differences in

expression levels between the two brain regions, either in the autopsy or

in resection samples, are plotted: (a) according to Student's t test; (b)

according to SAM Red dashed lines represent linear regression results

and black dotted lines represent expected regression lines with the slope

= 1.

Resection

Resection

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In this study, we observe that death causes substantial

changes in the expression of more than 10% of genes

expressed in human brain Furthermore, this change is highly

reproducible, with 96% of differences being shared when two

very different brain regions (frontal cortex and hippocampus)

are considered Since all brain resection samples were

obtained from people with certain brain abnormalities, an

alternative explanation is that the observed changes are

induced by disease of the living brain rather than by death

However, for several reasons we find this explanation

unlikely First, we used resection samples from patients

suf-fering from several different neurological disorders (Table 1),

which are not likely to induce the same pattern of gene

expression change Second, although all but one of the

patients were diagnosed with epilepsy, severity of the disease

did not significantly influence expression differences between

autopsy and resection samples Third, we observed similar

gene expression differences between autopsy and resection

samples in both frontal cortex and hippocampus It is unlikely

that these brain regions are affected in the same way by the

diseases in question Finally, we found consistent gene

expression differences in the four frontal cortex samples

affected by disease at the histological level and the ones with

normal histology Taken together, these arguments suggest

that the gene expression differences we observed between

autopsy and resection samples are not due to disease-induced

change in the resection samples

Still, two factors, epilepsy and surgery, are shared among

most or all patients, respectively We found no genes with a

significant effect of epilepsy on expression either in

hippoc-ampus or in frontal cortex Similarly, using data from the

resection samples of non-epileptic patients, we found the

same expression differences between autopsy and resection

samples as we found with epileptic patients' samples In

addi-tion, known expression changes induced by epilepsy are not

over-represented among differences between autopsy and

resection samples These results indicate that epilepsy is

unlikely to have contributed a great deal to the expression

dif-ferences we see Due to the small number of samples used in

the analysis, however, we cannot completely exclude such an

effect Similarly, we cannot exclude influence of surgery and

surgery related treatments, like anesthesia, on gene

expres-sion in all resection samples This remains a confounding

fac-tor for estimation of the expression differences between

postmortem and living human brain tissue that we cannot

address in this study

Yet, given the widespread use of postmortem human brain

tissue in research, the most important question is how well

gene expression differences measured in postmortem

sam-ples reflect those occurring in vivo We found that despite the

large impact that death as such and, potentially, surgery have

on gene expression patterns in autopsy and resection

sam-ples, respectively, differences between brain regions that exist

in the living brain are mostly retained in postmortem sam-ples However, it is striking that the magnitude of the expres-sion differences between the two brain regions decreases by approximately 50% on average and that the effect size is reduced by approximately two-thirds in postmortem sam-ples This reduction did not depend on the magnitude of dif-ference Interestingly, the reduction was even more pronounced in genes with lower expression in frontal cortex than in hippocampus (Figure 2) This indicates that gene expression differences measured in postmortem brain sam-ples may underestimate differences existing in the living tissue

Interestingly, gene expression changes induced by death do not appear to increase variation among postmortem brain samples In agreement with this, we found no significant cor-relation between the duration of postmortem interval and the magnitude of expression differences between autopsy and postmortem samples This suggests that expression changes occur quickly in the process of dying and remain stable there-after This observation is in agreement with recent findings that postmortem delay does not substantially influence gene expression variation among human brain samples [6-8], whereas prolonged agonal states significantly influence expression profiles

The genes that differ in their expression between autopsy and resection samples are significantly over- and under-repre-sented in certain functional processes Genes involved in rather basic functions, such as RNA processing, protein bio-synthesis and transport, organelle organization and biogen-esis, the ubiquitin cycle, and DNA repair (Table 1) are over-represented among genes differently expressed between autopsies and resections We would have expected an overall down-regulation of these pathways in tissues after death Indeed, genes involved in rRNA processing, protein biosyn-thesis, induction of apoptosis, and organelle organization and biogenesis show significant down-regulation in the autopsy samples Interestingly, we also see up-regulation of genes involved in the ubiquitin cycle, protein ubiquitination, and ubiquitin-dependent protein catabolism This implies that death leads to the temporary induction of expression for some functional processes It is intriguing to think that death does not lead to immediate shut down of all functional processes

on a cellular level If these transcripts become translated to functional proteins, up-regulation of genes involved in ubiq-uitin-dependent protein catabolism may lead to increased degradation of proteins in human brain samples after death This could have consequences for protein studies in postmor-tem human brain samples, where protein degradation is com-monly observed [14-16] It may thus be important to compare protein patterns in postmortem andresection samples of human brains to estimate the extent of death-induced protein degradation

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More than three quarters of the GO categories with

signifi-cant conservation of their expression levels after death fall

into processes involved in intra- and extracellular signaling

and in development (Table 1) This is rather unexpected since

these processes underlie essential brain functions and genes

involved in such functions have been shown to differ in their

expression levels among various brain regions [17,18]

Intui-tively, one might expect that death would affect these

proc-esses first The excess or paucity of expression differences in

certain functional processes could be caused by differences in

RNA degradation rates In this case we would expect genes

with low RNA turnover to fall into functional categories that

maintain their observed expression levels after death and

genes with high RNA turnover to fall into significantly

changed functional categories However, genes involved in

signal transduction and development are known to have high

RNA turnover rates [19,20] while genes involved in general

metabolic functions, biosynthesis and catabolism have low

RNA turnover rates [20,21] Thus, it is unlikely that the

observed clustering of expression differences in distinct

func-tional categories is due to differences in RNA degradation

rates

Conclusion

Despite the large effect of death on gene expression in human

brain, postmortem samples maintain the vast majority of the

expression differences that exist between brain regions in

vivo However, the amplitude of expression differences

between brain regions in postmortem samples is reduced by

approximately 50% compared to the living tissue It should be

noted that the results reported here examined only a limited

number of samples representing only few conditions and that

confounding effects, including surgery and anesthesia, may

influence some of the expression differences we observe

Nev-ertheless, given that the primary source of brain tissue is

post-mortem collection, it is encouraging that there is such a high

degree of correlation in gene expression patterns between

sources

Materials and methods

Tissue samples and microarray data collection

Human postmortem samples were obtained from the

National Disease Research Interchange Informed consent

for use of the tissues for research was obtained in writing

from all donors or the next of kin None of the subjects had a

history of neurological disease or had indications of brain

abnormalities at the tissue level as determined at autopsy All

individuals suffered sudden death for reasons other than

their participation in this study and without any relation to

the tissues used Human resection samples were obtained

from patients with brain tumors and/or chronic

pharmaco-resistant epilepsy who underwent surgical treatment in the

Surgery/Epilepsy Surgery Programs at the University of Bonn

Medical Center In all patients, surgical removal of the

tumor/lesion tissue was necessary Informed consent for additional studies was obtained in writing from all patients

The diagnosis of the individual patients is presented in Table

1 All procedures were conducted in accordance with the Dec-laration of Helsinki and approved by the ethics committees of the respective institutions Representative tissue sections were snap frozen at -80°C Based on neuropathological anal-yses by means of hematoxilin and eosin stainings, normal tis-sue adjacent to the tumor or lesions was used for subsequent experiments Intense care was taken to avoid tumor infil-trated tissue None of the surgically obtained tissue samples used in this study, with the exception of four frontal cortex samples with focal cortical dysplasia, showed any histological abnormalities Age, sex, and degree of relatedness of all indi-viduals are listed in Table 1

All samples were processed in parallel starting from the fro-zen tissue by the same person (HF) in random order with respect to brain region and the source of sample material

Total RNA was isolated from approximately 50 mg of frozen tissue using TRIZol® (GIBCO, San Diego, CA, USA) reagent according to the manufacturer's instructions and purified with QIAGEN® RNeasy® kit (Valencis, CA, USA) following the 'RNA cleanup' protocol All RNA samples were of high and comparable quality as determined by the ratio of 28S to 18S ribosomal RNAs estimated using the Agilent® (Palo Alto, CA, USA) 2100 Bioanalyser® system and by the signal ratios between the probes for the 5' and 3' ends of the mRNAs of GAPDH used as quality controls on Affymetrix® (Santa Clara, CA< USA) microarrays (Table 1) Labeling of 1.2 µg of total RNA, hybridization to Affymetrix® HG U133plus2 arrays, staining, washing and array scanning were carried out follow-ing Affymetrix® protocols All primary expression data are publicly available at the ArrayExpress database (accession number E-TABM-20) [22]

Microarray data analyses

Affymetrix® microarray image data were collected with Affymetrix® GeneChip® Operating Software version 1.1 using default parameters We used the robust multichip average (rma) procedure [23] for array normalization and calculation

of expression base two logarithm transformed intensity val-ues Since logarithm-transformed intensity values are approximately normally distributed, we used them for all

analyses We calculated detection p values using the

Biocon-ductor 'affy' software package [24] We defined probe sets having a detectable hybridization signal using Affymetrix default detection cutoff of 0.065

We used ANOVA to identify probe sets that showed a statisti-cally significant change in expression depending on the brain region or on the source of sample material among human

samples using the following model: Y ij = µj + sourcei + regioni + (source*region)i + εij In this equation, Yij is the base two

logarithm of the expression level for probe set j in sample i, µ

is the mean expression level of a probe set j, source i is the term

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for the effect of the source of sample material, regioni is the

term for the effect of the source of the brain region,

(source*region)i is the term for the interaction effect of the

two factors, and εij is the error term For each term we used a

nominal significance level of 0.01 In order to estimate an

average number of probe sets expected by chance at this

sig-nificance cutoff, we applied the same ANOVA approach to

1,000 datasets constructed by random permutation of the

sample labels in the original data

Alternatively, differently expressed probe sets were

deter-mined using SAM software version 2.01 with 5% FDR cutoff

[25] In all cases except the analysis of epilepsy effects, we

performed t statistics on the logarithm transformed

expres-sion values FDR estimates were based on 500 permutations

of the samples within the set We used block permutation

design for the two-factor analysis and time course for the

analysis of epilepsy effects Effect of epilepsy was scored

based on the diagnosis and seizure type: 0, no diagnosed

epi-lepsy; 1, simple partial seizures; 2, simple and complex partial

seizures; 3, complex partial seizures; 4, simple and complex

partial seizures, grand mal; 5, complex partial seizures Effect

size was calculated as a difference between means divided by

the pooled standard deviation The pooled standard deviation

was defined as the square root of the average of the squared

standard deviations

Functional analysis and distribution on chromosomes

To functionally annotate the probe sets on the Affymetrix®

HG U133plus2 arrays, we integrated information from four

public databases: Affymetrix® NetAffx™ (12/2004 release)

[26], LocusLink (12/2004 release) [27], and Gene Ontology

(12/2004 release) [28] Affymetrix® probe sets were linked to

the corresponding genes using LocusLink annotation

pro-vided by NetAffx™ When a single gene was represented by

multiple probe sets, the gene was classified as detected if at

least one probe set was detected and classified as

differen-tially expressed if at least one probe set was both detected and

differentially expressed Genes were assigned to their GO

annotations from each of the three GO taxonomies

('molecu-lar function', 'biological process', and 'cellu('molecu-lar component')

using GenMapper [29,30] Note that a gene belongs to its

assigned GO group as well as all higher groups in the

taxonomy

To assess if the overall distribution of genes differentially

expressed between autopsy and resection samples across the

groups in a GO taxonomy differs significantly from the

distri-bution of all detected genes, we compared it with 10,000

ran-dom sets in which the same number of differentially

expressed genes was randomly drawn from the annotated

detected genes as described elsewhere [18] GO groups with

significant excess and with significant lack of expression

dif-ferences between autopsy and resection samples were

deter-mined independently using the hypergeometric distribution

[18] The percentage of false positive GO groups was

esti-mated from the ratio of the number of significant groups in the observed data to the average number of the significant groups in 10,000 random sets In the GO taxonomy 'biologi-cal process', we expect 20% false positives for the groups with significant excess and 5.8% false positives for the groups with significant lack of expression differences between autopsy and resection samples Significant over-representation of

up-or down-regulated genes in GO groups with significant excess

of expression differences was determined by binomial test Probability of up- and down-regulation within a group was based on distribution of all differently expressed genes To assign chromosomal location to genes we used annotation provided by NetAffx™ Genes differently expressed between autopsy and resection samples were defined the same way as for the functional analysis

Acknowledgements

We thank Stanley Medical Research Institute, Bethesda, for providing the well-matched brain collection courtesy of MB Knable, EF Torrey, MJ Web-ster, S Weis and RH Yolken; U Gärtner of the Paul Flechsig Institute, Leip-zig, for help with dissections; M Lachmann, W Enard, J Kelso, M Leinweber, and all members of our laboratory for discussion; H Creely for critical read-ing of the manuscript; the Max Planck Society, the Bundesministerium für Bildung und Forschung grant 01GR0481, and the Sächsisches Staatsministe-rium für Wissenschaft und Kunst for financial support.

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